Reply To: Pump to infuse HPSC?

  • Carly Coleman

    Member
    October 24, 2020 at 1:15 pm
    We infuse bone marrow and stem cell through the alaris pump
    Carly Coleman
    Cohen Children’s Hospital

    ——————————————-
    Original Message:
    Sent: 10/24/2020 12:25:00 PM
    From: Jessica Murphy
    Subject: RE: Pump to infuse HPSC?

    We only infuse by gravity – strictly no pumps for stem cell products. We also limit total volume of infusion to 20-25mL/kg.

    ——————————
    JD Murphy MS CPNP-AC CPHON
    Pediatric Oncology/BMT Nurse Practitioner
    Johns Hopkins Hospital
    Baltimore, MD USA
    jmurph89@jhmi.edu
    ——————————
    ——————————————-
    Original Message:
    Sent: 10-24-2020 10:56 AM
    From: Ashley Varnes
    Subject: Pump to infuse HPSC?

    Does your institution infuse HPSC products with a pump? I can find very little research to support this practice, but there has to be a better way than counting drops with gravity. 😳
    We recently infused fresh product received from an international location. Flight times were limited r/t COVID and product had to be filtered twice before infusion.  Large volume – 514cc for a 9kg child made for a challenging infusion while balancing drip rate titration in the midst of diuretics/antihypertensives/CSA etc…  A pump would have allowed for a more accurate infusion time, especially given small size of child while balancing need to infuse cells in timely manner.

    If you use a pump, what brand and what tubing?

    Curious to see how many institutions have transitioned to a pump vs gravity?

    ——————————
    Ashley Varnes, MSN, RN, CPHON, CPN, BMTCN
    Clinical Practice Nurse Expert II
    Cancer and Blood Disorders Unit
    Medical University of South Carolina
    Shawn Jenkins Children’s Hospital
    varnesa@musc.edu
    ——————————